Re: Raising CMI
just keep in mind that you may not move the ARD date once an assesment window has closed, or if you have already picked an ARD date and that date has passed.
Example: Last quarterly R2B was 2/1/09, RUG = PA. Next quarterly R2B would be due on or before 5/3/09, probably w/ an ARD set on 4/20 or later. Resident was seen by a dentist on April 1st with an order to keep denture off for 2 days. On April 3, the opthalmologist saw resident for his glaucoma follow-up and change his eye meds. These would equal to 2 MD visits and 2 MD orders. Since your ARD begins on 4/20, you would have missed these events based on the 14 day lookback for P7 & P8. However, if you move the assm't earlier and set the ARD on or before 4/14, you will capture the visits/orders and raise the quarterly rug score to CA.
Have a cheat sheet similar to
this and memorize what conditions yield a higher rug.
Be present during the daily 24 hr. report and check if a resident has an acute change in clinical condition or may have required more staff assistance in ADLs during the week. When is his next assm't due?
Most important, choose ARDs wisely. Be flexible. Schedule it later or earlier depending on what conditions or better ADL sum you can capture that will produce a higher rug. Just remember you have to complete the assessment (R2B) within 14 days of the ARD, and, that R2B is within 92 days of the last assm't's R2B.[/quote]
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